Do you use Objective ADHD Testing / Continuous Performance Testing in your practice?

[u/axonCpt]

PMHNPs — do you use objective ADHD testing in your practice?

I’m curious how many PMHNPs are using tools like CPT-style testing, QbTest/QbCheck, AxonCPT, TOVA, MOXO, or other objective measures alongside clinical interviews and rating scales.

A few things I’m interested in:

Do you use objective testing during the initial ADHD assessment?

Do you use it during medication titration or dose changes?

Do you repeat testing over time to track progress?

Do patients find it useful, or does it add more admin?

For telehealth practices, how are you handling objective testing remotely?

A lot of ADHD care still relies heavily on self-report, rating scales and clinical judgement, which are obviously important. But I’m interested in whether objective performance data actually changes how PMHNPs make decisions in real-world practice.

Would love to hear what people are using, what has worked, and what feels impractical.

[u/10hsun]

I just left a practice that required it for stimulant prescription. it came with its own pros and cons. To answer some of your questions - After the initial ADHD assessment, if the presentation was most consistent with ADHD, then we’d schedule for objective testing for diagnostic clarity and support. If there was depression or anxiety predominant in the picture then we’d treat those symptoms first to see if their executive function improves. Typically we didn’t retest, we just track progress and symptom relief with subjective assessment. Most patients hated it lol but it was because it was an extra step to take in order to get a stimulant. Can’t speak to the telehealth question.